• Users Online:298
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 

 Table of Contents  
IMAGE IN EUS
Year : 2015  |  Volume : 4  |  Issue : 4  |  Page : 351-352

Gastric gastrointestinal stromal tumor mimicking cystic tumor of the pancreas: Diagnosed by endoscopic ultrasound-fine-needle aspiration


1 Department of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
2 Department of Surgery, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

Date of Submission04-May-2015
Date of Acceptance18-May-2015
Date of Web Publication25-Nov-2015

Correspondence Address:
Surinder S Rana
Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh - 160 012
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2303-9027.170452

Rights and Permissions

How to cite this article:
Rana SS, Sharma V, Sharma R, Gunjan D, Dhalaria L, Gupta R, Bhasin DK. Gastric gastrointestinal stromal tumor mimicking cystic tumor of the pancreas: Diagnosed by endoscopic ultrasound-fine-needle aspiration. Endosc Ultrasound 2015;4:351-2

How to cite this URL:
Rana SS, Sharma V, Sharma R, Gunjan D, Dhalaria L, Gupta R, Bhasin DK. Gastric gastrointestinal stromal tumor mimicking cystic tumor of the pancreas: Diagnosed by endoscopic ultrasound-fine-needle aspiration. Endosc Ultrasound [serial online] 2015 [cited 2022 Jun 26];4:351-2. Available from: http://www.eusjournal.com/text.asp?2015/4/4/351/170452

A 53-year-old male presented with upper abdominal pain of 3 months duration. On clinical examination, a vague lump was palpable in the epigastric region. Contrast-enhanced computed tomography (CECT) of the abdomen revealed a large cystic lesion measuring 8 cm near the tail of the pancreas [Figure 1]. It had an enhancing solid component in the periphery of the cyst [Figure 2]. Upper gastrointestinal endoscopy revealed normal gastric mucosa. A possibility of cystic pancreatic neoplasm was kept and the patient underwent endoscopic ultrasound (EUS). The EUS revealed a heteroechoic lesion arising from the stomach wall with solid and cystic areas [Figure 3]. There were small anechoic areas in the solid component of the lesion suggestive of necrosis [Figure 4]. The lesion could be seen arising from the muscularis propria. EUS-guided fine-needle aspiration (FNA) was performed from the solid component and the cytology revealed features suggestive of a spindle cell tumor [Figure 5]. The patient underwent surgical excision of the tumor and the histopathological examination confirmed the presence of gastrointestinal stromal tumor (GIST).
Figure 1: CT of the abdomen: Large cystic lesion measuring 8 cm in the tail of the pancreas

Click here to view
Figure 2: CT of the abdomen: Enhancing solid component in the periphery of the cyst

Click here to view
Figure 3: EUS: Heteroechoic lesion arising from the stomach wall with solid and cystic areas

Click here to view
Figure 4: EUS: Small anechoic areas in the solid component of the lesion

Click here to view
Figure 5: EUS-guided FNA from the solid component of cystic lesion

Click here to view


GISTs are mesenchymal tumors, which usually arise from the stomach, small intestine, large intestine, or esophagus. They usually present as solid masses and cystic degeneration of a GIST is very rare. [1],[2] The cystic degeneration is usually seen in larger tumors because of liquefaction and hemorrhage. EUS-FNA may provide an opportunity to obtain the tissue for preoperative diagnosis. [3],[4] EUS findings are variable and may include complex cystic lesions with hyperechoic debris or hypoechoic rounded lesion. [2],[3],[4],[5]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest and no financial disclosures to be made.

 
  References Top

1.
Kumar A, Jakhmola CK, Chauhan SS, et al. Atypical presentation of gastrointestinal stromal tumor masquerading as a large duodenal cyst: A case report. Int J Surg Case Rep 2015;9:123-6.   Back to cited text no. 1
    
2.
Ambrosio MR, Rocca BJ, Mastrogiulio MG, et al. Cystic gastrointestinal stromal tumors of the pancreas simulating cystoadenocarcinoma. Report of three cases and short review of the literature. Histol Histopathol 2014;29:1583-91.  Back to cited text no. 2
    
3.
Sepe PS, Moparty B, Pitman MB, et al. EUS-guided FNA for the diagnosis of GI stromal cell tumors: Sensitivity and cytologic yield. Gastrointest Endosc 2009;70:254-61.  Back to cited text no. 3
    
4.
Harindhanavudhi T, Tanawuttiwat T, Pyle J, et al. Extra-gastrointestinal stromal tumor presenting as hemorrhagic pancreatic cyst diagnosed by EUS-FNA. JOP 2009;10:189-91.  Back to cited text no. 4
    
5.
Naitoh I, Okayama Y, Hirai M, et al Exophytic pedunculated gastrointestinal stromal tumor with remarkable cystic change. J Gastroenterol 2003;38:1181-4.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]


This article has been cited by
1 Gastric schwannoma: a case report and literature review
Changsheng Pu, Keming Zhang
Journal of International Medical Research. 2020; 48(9): 0300060520
[Pubmed] | [DOI]
2 Intraperitoneal abscess formation spreading to the liver after endoscopic ultrasound-guided fine-needle aspiration for abdominal lymphadenopathy
Koji Takahashi,Hiroshi Kashimura,Naoaki Konno,Miyuki Nakagawa,Akari Munakata,Ken Okawara,Yohei Aoki,Takeshi Nihei
Clinical Journal of Gastroenterology. 2018;
[Pubmed] | [DOI]
3 Evaluation of Transabdominal Ultrasound with Oral Cellulose-Based Contrast Agent in the Detection and Surveillance of Gastric Ulcer
Zhijun Liu,Jintao Guo,Shupeng Wang,Ying Zhao,Zhining Liu,Jing Li,Weidong Ren,Shaoshan Tang,Limei Xie,Ying Huang,Siyu Sun,Liping Huang
Ultrasound in Medicine & Biology. 2017; 43(7): 1364
[Pubmed] | [DOI]
4 Role of endoscopic ultrasound and endoscopic resection for the treatment of gastric schwannoma
Jinlong Hu,Xiang Liu,Nan Ge,Sheng Wang,Jintao Guo,Guoxin Wang,Siyu Sun
Medicine. 2017; 96(25): e7175
[Pubmed] | [DOI]
5 Endoscopic ultrasound-guided pancreatic pseudocyst drainage with lumen-apposing metal stents or plastic double-pigtail stents: A multifactorial analysis
Nan Ge,Jinlong Hu,Siyu Sun,Enqiang Linghu,Zhendong Jin,Zhaoshen Li
Journal of Translational Internal Medicine. 2017; 5(4): 213
[Pubmed] | [DOI]
6 Randomized controlled study of the safety and efficacy of nitrous oxide-sedated endoscopic ultrasound-guided fine needle aspiration for digestive tract diseases
Cai-Xia Wang,Jian Wang,Yuan-Yuan Chen,Jia-Ni Wang,Xin Yu,Feng Yang,Si-Yu Sun
World Journal of Gastroenterology. 2016; 22(46): 10242
[Pubmed] | [DOI]
7 Effects of premedication with Pronase for endoscopic ultrasound of the stomach: A randomized controlled trial
Guo-Xin Wang,Xiang Liu,Sheng Wang,Nan Ge,Jin-Tao Guo,Si-Yu Sun
World Journal of Gastroenterology. 2016; 22(48): 10673
[Pubmed] | [DOI]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
   References
   Article Figures

 Article Access Statistics
    Viewed1490    
    Printed28    
    Emailed0    
    PDF Downloaded197    
    Comments [Add]    
    Cited by others 7    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]